The Kroc Center
Scholarship Program

Spring Camp 2018

Applicant (Parent) Last Name: First Name : ______

Telephone Number:( )______Email: ______

Camper’s Last Name: ______Camper’sFirst Name: ______

APPLICATION DEADLINES
Spring Camp Application Due By Friday, Feb. 23, 2018YOU MAY REQUEST UP TO 3 WEEKS ONLY

PAYMENT DEADLINES (if payment is not received on time, you will lose your spot)

Spring Camp Week 1 Payment Due By Monday, March 12th

Spring Camp Week 2Payment Due By Monday, March 19th

Spring Camp Week 3Payment Due By Monday, March 26th

Spring Camp Week 4Payment Due By Monday, March 2nd

If you do not pay by the deadline, your space will be forfeited.

Eligibility Requirements and Guidelines:

Assistance is given to those with a proven financial need who live within SAN DIEGO COUNTY.

The following documents are required for all individuals residing in the *Household (including roommates and non-family members):

Scholarship packet (completed and signed Intake Application and Request for Scholarship form)

Verification for all individuals in the household

  • Photo ID required for all adults in the home (State ID, driver’s license, passport, or military ID)
  • Identification for all children in the home (birth certificate, Medi-Cal card, or immunization record)

Current proof of income or lack of income for all individuals living in the household

  • 2 current pay stubs (TANF/Calworks Notice of Action, child support, Social Security or unemployment benefits statement, educational class schedule and/or financial aid verification, etc.)

Address verification (a recent utility bill such as SDGE, water, or cable/internet)

SCHOLARSHIP INFORMATION:

  • Submit completed application packets to the Family Resource Center located at 6845 University Avenue San Diego, CA 92115, building A. Application does not guarantee assistance.
  • There is a $20.00 administrative fee for any changes or cancellations made after scholarships have been processed.
  • Scholarship space and funding is limited and will be awarded based on eligibility, timelines, and space available.
  • Only one scholarship per person will be granted. Once approved, recipients must pay their portion of the fee by the expiration date printed on the Scholarship Voucher. Payments are made at the Family Resource Center Guest Service Desk only. If a voucher is expired a new scholarship application form must be completed and re-submitted. Enrollment into Classes/Programs after a voucher has expired is not authorized.
  • Recipients must attend the camp that has been funded. Future requests for scholarship assistance by the same applicant may not be considered if funds or programs are misused or at the discretion of the Case Manager assigned to you based on non-compliance.
  • All scholarship awards are confidential. Applicants agree to refrain from discussing awards with others.

By signing below I certify that I have read and understand the scholarship program guidelines. Recipients must use the Membership or Class/program funded. Future requests for scholarship assistance by the same applicant may not be considered if funds or programs are misused.

Signature:Date:______

*A HOUSEHOLD is defined as ALL individuals residing within the home, including non-family members.

Family Resource Center ● 619.269.1430 ● Fax 619.255.3238 ●